Caloptima jobs in Orange, CA

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Manager, Audit & Oversight (Internal)
CalOptima - 21 reviews - Orange, CA
This position leads the routine oversight, monitoring and auditing of all internal business functions within CalOptima and its Pharmacy Benefits Manager (PBM)...
Supervisor, Claims (Shared Risk)
CalOptima - 21 reviews - Orange, CA
Effectively utilize computer and appropriate software and interact as needed with CalOptima Claims Processing Systems....
Medical Director
CalOptima - 21 reviews - Orange, CA
Effectively utilize computer and appropriate software and interact as needed with CalOptima Information Systems....

Personal Care Coordinator

Prospect Medical Systems - 24 reviews - Orange, CA 92868
Serve as a liaison between OneCare members, the Prospect Medical Group, CalOptima, medical providers, behavioral health providers and Long Term Support Service...

Grievance Resolution Specialist

CalOptima - 21 reviews - Orange, CA
CalOptima organizational operations. Effectively utilize computer and appropriate software and interact as needed with CalOptima Information Systems....

Personal Care Attendant

CalOptima - 21 reviews - Orange, CA
Must complete and pass the CalOptima PACE approved curriculum for Personal Care Aides upon hire required....

Director, Long Term Support Services

CalOptima - 21 reviews - Orange, CA
Health Networks, including CalOptima Community Network providers, Physician Medical Groups). Serve as a resource for CalOptima and its entire medical groups (i...

Manager, Provider Data Management Services

CalOptima - 21 reviews - Orange, CA
Ensure accuracy of provider data submitted by delegated networks and CalOptima Direct by conducting quarterly audits of health network data and on-going in-line...

Regulatory Affairs & Compliance Analyst (Medicare)

CalOptima - 21 reviews - Orange, CA
This position also supports other key CalOptima staff on related projects. Work with all CalOptima departments in response to inquiries, problem-solving, and...

Associate Director, Provider Network

CalOptima - 21 reviews - Orange, CA
Effectively utilize computer and appropriate software and interact as needed with CalOptima Information Systems....

Manager, Case Management

CalOptima - 21 reviews - Orange, CA
The Manager of Case Management provides shared responsibility for the daily operations, activities and projects for the Case Management Department. This

Business Analyst, Sr.

CalOptima - 21 reviews - Orange, CA
The Business Analyst, Sr. is responsible for designing, developing and maintaining databases to support business requirements of the team, and continually

Supervisor, Claims (Shared Risk)

CalOptima - 21 reviews - Orange, CA
Effectively utilize computer and appropriate software and interact as needed with CalOptima Claims Processing Systems....
Systems Operations Analyst, Int.
CalOptima - 21 reviews - Orange, CA
Effectively utilize computer and appropriate software and interact as needed with CalOptima Information Systems....
Pharmacy Services Specialist
CalOptima - 21 reviews - Orange, CA
The Pharmacy Services Specialist utilizes specialized pharmacy knowledge and expertise to assist participating pharmacies, members, providers, CalOptima...

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